NPIMap

Organization Active NPI

VHS Acquisition Subsidiary Number 9 Inc

Doing business as MetroWest Medical Center

  • Psychiatry Physician
  • Natick, MA
National Provider Identifier
1356384101
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VHS ACQUISITION SUBSIDIARY NUMBER 9 INC
Doing business as
MetroWest Medical Center
Practice address
67 Union St
Natick, MA 01760-7700
Phone
(508) 383-1012
Fax
(508) 383-1011
NPI assigned
Jun 13, 2006
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James H. Spalding
Title
Executive Vice President
Phone
(615) 665-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Clinical Nurse Specialist 364S00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

67 Union St
Natick, MA 01760-7700

Mailing address

20 Burton Hills Blvd
Suite 100, Attention, Susan Vaughan
Nashville, TN 37215-6154
Phone (615) 665-6000

Other identifiers 1

IdentifierTypeStateIssuer
1200046MedicaidMA

Other names 1

  • MetroWest Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050104000423 MA Part B Supplier - Clinic/Group Practice 1850359613 Receives reassigned benefits from 10 practitioners
Practice locations: Framingham, MA; Natick, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Metrowest Medical CenterFramingham, MA, CCN 220175 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1356384101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD",
            "address_2": "SUITE 100, ATTENTION, SUSAN VAUGHAN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156154",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-383-1012",
            "fax_number": "508-383-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS ACQUISITION SUBSIDIARY NUMBER 9 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "615-665-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200046",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MetroWest Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.